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What Causes Headache And Nausea With Plasma In The Urine?

Posted on Thu, 10 Apr 2014

Question: I have a really bad headache (it has been there for a month) - heavy pressure dull pain. Today I feel nauseous too (but no vomiting). Every time I pass urine there is this plasma in the urine (however, no foul smell or cloudy urine) this has been happening for 3 - 4 days now... I was diagnosed to be pregnant a week ago but in a recent scan 2 days ago and yesterday they could not see anything in the uterus or tubes. a recent HCG report showed 160 beta HCG count...

Answered by Dr. Aarti Abraham (15 minutes later)

Brief Answer: MISCARRIAGE LIKELY Detailed Answer: Hello Thanks for writing to us with your health concern. Can you tell me when was your last period ? Also, the normal pattern of your menstrual cycles please ? The B HCG report has to be corelated with the days of gestation, hence I am requesting the details. Also, can you upload the scans that are done so far ? Based on the limited information provided, it appears that you have had a miscarriage spontaneously. A rare diagnosis is an ectopic pregnancy, but that generally shows up on a scan. That would explain the nausea . Cloudiness in urine and headaches are also common in early pregnancy. If the headache is unrelenting , you should consult a Neurologist for a detailed evaluation . A complete urine examination ( routine microscopy plus culture ) also should be done. Do write back with more details. All the best Please feel free to discuss further.

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar

Follow up: Dr. Aarti Abraham (33 minutes later)

last period start date 23rd January 2014 normally a 28 day regular cycle The urine is not cloudy at all just has this plasma like pieces and sometimes small plasma like lump will send the reports shortly

Answered by Dr. Aarti Abraham (5 hours later)

Brief Answer: NO CHANCE OF A PREGNANCY. Detailed Answer: Your ultrasound scan is absolutely normal. There is no question of a pregnancy here. So dont worry. Get a complete urine examination done. Can you tell me the dates of the B HCG reports and the corresponding values ? I can then corelate it with the ultrasound scan. Take care.

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar

Follow up: Dr. Aarti Abraham (2 hours later)

The hcg report was also on the 18 th of march... It is attached with the scans in the report section of my query

Answered by Dr. Aarti Abraham (12 minutes later)

Brief Answer: AS BELOW Detailed Answer: I am certain you underwent a miscarriage / chemical pregnancy. Please repeat the B HCG test, which by now would show a drastic fall.

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar

Follow up: Dr. Aarti Abraham (8 hours later)

Thank you doctor. What baffles me though is that I am not having any bleeding otherwise. Just the plasma/ blood clot ( sometimes the size of an almond sometimes just like dust) when I pass urine. No pain (by the grace of god) in the abdomen. Isn't miscarriage supposed to accompanied with heavy bleeding and pain ? I will do Hcg test today.

Answered by Dr. Aarti Abraham (9 minutes later)

Brief Answer: AS BELOW Detailed Answer: Pain and heavy bleeding is not always the norm. Early pregnancy miscarriages are often silent. ANd you did have bleeding / passage of blood clots, and the HCG levels clearly point to a miscarriage. A repeat value will confirm.

Note: Revert back with your gynae reports to get a clear medical analysis by our expert Gynecologic Oncologist. Click here.

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar